Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,819.70 / $5,011.87	Facility		$93.33	$1,819.70	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $501.19	Professional		$66.07	$134.90	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $158.49	Professional		$79.43	$95.50	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $158.49	Professional		$69.18	$109.65	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $173.78	Professional		$64.57	$104.71	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $117.49 / $165.96	Professional		$1.12	$117.49	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $81.28 / $158.49	Professional		$0.83	$81.28	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $144.54	Professional		$53.70	$107.15	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $173.78	Professional		$67.61	$107.15	$173.78